3 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Omaha, NE
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
323 South 132nd Street, Omaha, NE
(402) 330-4272
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
105
Certified beds
Average residents
90
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1983-01-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.85
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
3.18
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
5.06
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
4.64
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
5.52
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
35%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
844
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.06
Composite VBP score used to determine payment impact.
Payment multiplier
1.0179
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.46
Baseline 17.18% · Performance 17.51% · Measure score 8.46 · Achievement 8.46 · Improvement 0
Healthcare-associated infections
2.23
Baseline 6.12% · Performance 7.17% · Measure score 2.23 · Achievement 2.23 · Improvement 0
Total nurse turnover
4.53
Baseline 48.08% · Performance 45.16% · Measure score 4.53 · Achievement 4.53 · Improvement 0.76
Adjusted total nurse staffing
10
Baseline 4.98 hours · Performance 6.38 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.52% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 128 · Observed rate 8.59% · Lower 95% interval 7.49% |
| Discharge to community | 49.62% |
50.57%
1 pts worse
|
No Different than the National Rate · Eligible stays 129 · Observed rate 47.29% · Lower 95% interval 41.94% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 78 · Denominator 78 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 78 |
| Discharge self-care score | 50.79% |
53.69%
2.9 pts worse
|
Numerator 32 · Denominator 63 |
| Discharge mobility score | 50.79% |
50.94%
0.1 pts worse
|
Numerator 32 · Denominator 63 |
| Pressure ulcers or injuries, new or worsened | 1.28% |
2.29%
1 pts better
|
Numerator 1 · Denominator 78 · Adjusted rate 2.39% |
| Healthcare-associated infections requiring hospitalization | 7.17% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 80 · Observed rate 6.25% · Lower 95% interval 4.38% |
| Staff COVID-19 vaccination coverage | 8.51% |
8.2%
0.3 pts better
|
Numerator 32 · Denominator 376 |
| Staff flu vaccination coverage | 23.48% |
42%
18.5 pts worse
|
Numerator 120 · Denominator 511 |
| Discharge function score | 47.62% |
56.45%
8.8 pts worse
|
Numerator 30 · Denominator 63 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 97.83% |
96.28%
1.5 pts better
|
Numerator 45 · Denominator 46 |
| Resident COVID-19 vaccinations up to date | 57.14% |
25.2%
31.9 pts better
|
Numerator 28 · Denominator 49 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.8
0.3 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.0
0.9 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
92.8%
6.5 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.3% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.7% |
96.1%
0.4 pts worse
|
95.5%
0.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
4.5%
1.5 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 7.6% · Q3 5.9% · Q4 5.5% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
4.4%
2.8 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
5.3%
0.1 pts better
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 8.9% · Q3 5.2% · Q4 1.7% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.9% |
19.5%
11.4 pts worse
|
19.6%
11.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 30.5% · Q3 28.8% · Q4 30.2% · 4Q avg 30.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 33.5% |
21.6%
11.9 pts worse
|
16.7%
16.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 33.3% · Q3 34.1% · Q4 34.0% · 4Q avg 33.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.3%
0.3 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.1% |
20.4%
10.7 pts worse
|
16.3%
14.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.6% · Q2 33.9% · Q3 33.8% · Q4 9.9% · 4Q avg 31.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.1% |
19.9%
0.2 pts worse
|
14.9%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 31.5% · Q3 17.9% · Q4 10.2% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.6%
0.9 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 1.6% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.7% |
2.9%
2.8 pts worse
|
1.7%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 7.9% · Q3 3.0% · Q4 5.7% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.1% |
26.6%
0.5 pts better
|
19.8%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.6% · Q2 28.5% · Q3 19.6% · Q4 24.4% · 4Q avg 26.1% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
4.3%
0.1 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 2.8% · Q3 3.6% · Q4 3.1% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.3% |
80.5%
4.8 pts better
|
81.7%
3.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.2% · Q2 88.7% · Q3 87.0% · Q4 78.0% · 4Q avg 85.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
11.6%
4.1 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 6.8% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.4%
1.4 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 0.0% · Q4 1.5% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.5% |
75.9%
9.6 pts better
|
79.7%
5.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.3% |
20.9%
8.4 pts worse
|
23.9%
5.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.3% · Observed 22.0% · Expected 17.9% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
26 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-13
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2024-12-13
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-20
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-20
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-09-20
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-09-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-09-18
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-09-18
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-09-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-09-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-09-18
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-09-18
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-09-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-18
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2022-09-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-09-18
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-09-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-09-18
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-09-18
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2022-09-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-09-18
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-09-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-18
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-09-18
Fire Safety
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected 2022-09-18
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-09-18
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-09-18
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-09-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-09-18
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2022-09-18
Inspection history
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-01-02
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2024-12-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-20
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-18
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-09-18
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2022-09-18
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-09-18
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-09-18
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2022-09-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-18
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-09-18
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-09-18
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-09-18
Penalties and ownership
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Nearby options
Omaha, NE
0-star overall rating with 0-star inspections with Special Focus status with $159,083 in total fines with 20 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Omaha, NE
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Omaha, NE
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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